In the worst way possible, a woman refused a life-saving abortion in Ireland has proved ‘pro-life’ advocates wrong

“This is a Catholic country,” was what Irish doctors told Savita Halappanavar after she learned she was miscarrying her pregnancy and asked for an abortion to avoid further complications. She spent three days in agonising pain, eventually shaking, vomiting and passing out. She again asked for an abortion and was refused, because the foetus still had a heartbeat.

Then she died.

She died of septicaemia and E Coli. She died after three and a half days of excruciating pain. She died after repeatedly begging for an end to the pregnancy that was poisoning her. Her death would have been avoided if she had been given an abortion when she asked for it – when it was clear she was miscarrying, and that non-intervention would put her at risk. But the foetus, which had no chance of survival, still had a heartbeat. Its right to life quite literally trumped hers.

US politicians and “pro-life” advocates like Joe Walsh will tell you that there are no circumstances under which women need abortions to avoid death or injury. The Republican platform doesn’t include an exception for medically necessary abortion. And the Republican party is trying to put laws similar to those in Ireland on the books in the United States – laws that would allow emergency room doctors to refuse to perform abortions, even in cases where the pregnant woman’s life or health depends on terminating the pregnancy. The GOP isn’t exactly the most science-friendly or fact-reliant crowd in the world, but to them, women like Savita either don’t exist or just don’t matter. As Jodie at RH Reality Check writes:

“These are the lives of your sister, your mother, your daughter, your aunt, your friends, and your colleagues. These are the lives at stake. These are the very people that the fanatical anti-choice and religious right see as ‘not people’.

They are all Savita Halappanavar.

We are all Savita Halappanavar.

But we do not have to die at the hands of misogynists.

In honour of Savita Halappanavar; in honour of the nearly 22 million women worldwide each year who endure unsafe abortion; in honour of the 47,000 women per year worldwide who die from complications of unsafe abortion and the estimated 10 times that number who suffer long-term health consequences; in honour of the millions of women who do not have access to contraception, who have no control over whether and with whom they have sex or whether or with whom they have children, we can fight back. In honour of the young girls married young and the women forced to bear children long past the point they are able to care for more … for all these women, we must continue to act, to liberalise abortion laws, ensure every woman has access, remove the stigma, and trust women, like Savita, who know when it is time to end even the most wanted pregnancy.”

Just two months ago, a consortium of Irish doctors got together to declare abortion medically unnecessary. They claimed that abortion is never needed to save a pregnant woman’s life, and stated: “We confirm that the prohibition of abortion does not affect, in any way, the availability of optimal care to pregnant women.”

We are writing to you to express our concern about the recent death of Savita Halappanavar, who was repeatedly denied an abortion in Galway. This tragic case demonstrates once again that the prohibition of abortion in Ireland is not just undermining the autonomy of the women across the country, it is leading to unacceptable suffering and even death.

Savita Halappanavar made repeated requests for an abortion after presenting at University Hospital Galway on 21 October while miscarrying during the 17th week of her pregnancy. Her requests were refused, and she died one week later after several days in agonising pain and distress.

The situation of Savita Halappanavar provides the clearest possible evidence that laws that permit abortion only to save the life of a woman, such as the Irish law, are clinically unworkable and ethically unacceptable. There are numerous clinical situations in which a serious risk posed to a pregnant woman’s health may become a risk to her life, and delaying emergency action only increases that risk. There is only one way to know if a woman’s life is at risk: wait until she has died. Medical practitioners must be empowered by law to intervene on the grounds of risk to life and health, rather than wait for a situation to deteriorate.

You will be aware that the European Court of Human Rights, as well as a number of United Nations human rights bodies, have called upon the Irish government to bring its abortion law in line with international human rights standards. Had these calls been heeded before now, the death of Savita Halappanavar would have been prevented.

With the death of Savita Halappanavar, Ireland joins the ranks of countries worldwide where abortion is denied to women and leads to their deaths.

We call on your government to take urgent and decisive steps to reform the legislation that led to the death of Savita Halappanavar. Until the Irish legal system is reformed the lives, health and autonomy of women across Ireland are in jeopardy.

Yours faithfully,

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